Professional Documents
Culture Documents
Veneers
Introduction
Recent public exposure via the media to various kinds of esthetic dentistry
procedures has increased demand for veneers. In past years, full coverage
However, the more conservative concept of veneering teeth has been around for
some time.
veneers were fabricated for actors and used only in front of the camera. The
actors were instructed not to wear the veneers while eating since the veneers
were not bonded. Nine years later, in 1937, Pincus also fabricated acrylic
veneers. These veneers were retained by denture adhesive, but failed because
enamel etching and in 1962, Ray Bowen developed composite materials. Dr. F.
R. Faunce and Dr. D.R. Myers in 1976 tried acrylic veneers luted on etched
enamel surfaces. In 1983, Dr. Harold Horn etched custom porcelain veneers
since their introduction, they still have a few drawbacks, such as wear, marginal
and incisal edge fractures, and discoloration. As a result, composites may require
Porcelain veneers are more stable and have better esthetics. If a porcelain
veneer is bonded with a correct adhesive technique and optimal oral hygiene
care is maintained, studies have shown that the long term survival rate of veneer
is very high.3
Types Of Veneers
Veneers can be placed directly or indirectly. Composites are used for directly
placed veneers, and a variety of materials can be used for indirectly placed
Veneers are used for functional and cosmetic correction of the following
conditions:
4. Peg laterals
2. Labial version
Restore: Once the above options have been explored, the last option is to
discoloration;
Color stability.
Brittle margins
When restoring anterior teeth with porcelain veneers you must be aware of:
Clinical Procedure
Tooth #7 (left) and tooth #10 (right) were treatment planned for Empress
Veneers. The teeth were whitened before veneer preparation
Visit 1:
1. Impression for study models/bite registration record
2. Radiographs/photographs
3. Check contraindications
4. Shade selection
- Vita 3D Master
- Electronic shading has recently been introduced. Electronic
Visit 2:
2. Preparation
bond strength6,7, but care must be taken not to remove more than 0.5 mm-
0.8 mm, especially in the proximal and cervical areas. Even though dentin
Depth Guide Cuts - With a 834/021, 0.5 mm diamond depth cut bur,
scribe horizontal depth cut grooves on the labial surface of any anterior
tooth. Extend these grooves from mesial to distal, taking care not to
damage the adjacent teeth that are not being prepared. It may be
necessary to angle the bur in relation to the contour of the labial surface to
achieve the appropriate depth for these guide cuts. The finish line of the
reducing area of the tooth that may be rotated lingually. The use of a
create a chamfer ending 0.5 mm incisal to the CEJ. This reduction should
done in order to preserve the natural guiding palatal surface of the tooth
porcelain by creating a chamfer along the facial incisal margin using the
Prepare 0.5 mm depth cut grooves in the incisal edge with 834/021
diamond. Using the 6856/018 diamond remove the remaining incisal tooth
structure. Then round the facial incisal line angle leaving a butt joint
margin along the lingual incisal edge. The incisal reduction should be 0.5
length of the tooth. The length can be increased from 0.5 to 2mm only.
Prepare 0.5 mm depth cuts in the incisal surface of tooth. Reduce the
incisal surface in a manner similar to incisal butt-joint preparation. Reduce
the mesial incisal and the distal incisal corners an additional 0.5 mm.
Then using the 6856/018 bur, extend the incisal chamfer to the palatal
surface. This palatal chamfer should be a straight line mesial to distal. All
incisal edges should be rounded. The lingual chamfer line on the wrap
The incisal wrap prep is a popular option for several reasons. It can be
used in order to check the amount of reduction required. The reduction guide is
designed to evaluate the amount of reduction at the incisal, middle third and
cervical third of the tooth. Use of a reduction guide is particularly important when
FINAL IMPRESSION
most distal embrasure on one side and work around the gingival surfaces of
Seat the tray containing the impression material and hold in place until set.
Temporization
very accurately.
areas. If this does occur then you must reimpress and retemp the
prepared teeth
irrigating syringe.
1. Try-In/Shade Selection:
Use flour of pumice to clean all prepared tooth surfaces and wash
thoroughly.
Moisten the veneers with water and place them carefully on the
paste, apply to veneer, seat, and examine for color and fit.
2. Cementation
Apply silane to the etched porcelain surface for 60 seconds and air
Veneers are luted two at a time starting with the central incisors
Etch the preparation in the usual manner and dry the area.
veneer.
surface and inside of the laminate veneer. Do not cure this layer at
this time.
Hold the veneer and check the gingival margin for proper seating.
margins first for 10 seconds, mesial, incisal and distal. After curing
these four areas, cure for 60 seconds through the facial surface.
Light-cure each area and margin of the veneer for 30 seconds
3. Finishing
perio scaler.
Using fine and extra fine diamond finishing burs remove excess
whenever necessary
4. J.R. Calamia, Etched porcelain veneers: the current state of art. Quintessence